Descrizione del progetto
Il ruolo della disuguaglianza sociale nel rischio di aborto e nelle sue conseguenze
La perdita spontanea della gravidanza, cioè l’aborto spontaneo prima delle 24 settimane di gestazione, colpisce circa il 25 % delle donne e può causare problemi di salute mentale e fisica. Sebbene lo stress dovuto a condizioni finanziarie o a lavori molto impegnativi possa aumentare il rischio di aborto, il ruolo delle disuguaglianze sociali in questo campo è stato raramente studiato. Allo stesso modo, sappiamo poco dei parametri sociali che influenzano il benessere mentale e fisico delle donne dopo un aborto spontaneo. Finanziato dal Consiglio europeo della ricerca, il progetto SOC-MISC mira a colmare questa lacuna di conoscenze utilizzando dati provenienti da registri e da sondaggi in Finlandia, Francia e Regno Unito. L’obiettivo è utilizzare questi risultati per migliorare la salute della popolazione.
Obiettivo
One in four women experience a miscarriage. Loss of pregnancy may affect fertility intentions and lead to adverse mental and physical health. Yet, we know little about how social inequalities affect the risk of miscarriage; how miscarriages may exacerbate existing social inequalities in population health; or how context shapes these experiences. One reason for this is poor quality of data, as miscarriages are often either underreported in surveys or only included in health registers if they require hospital care. Moreover, to date, sexual and reproductive health has often been ignored in life course epidemiology.
This proposal goes beyond the state-of-the-art by being the first comprehensive study of the patterns of social inequality in miscarriage and its outcomes. It reaches this goal by assessing the patterns of miscarriage underreporting in surveys before obtaining its estimates. It will make ground-breaking contributions by:
1) Analysing underreporting patterns of miscarriage and using this in further analyses to obtain more reliable results than before.
2) Showing how individual and family-level social inequalities affect miscarriage risk over the life course.
3) Establishing how mental and physical health consequences of miscarriage depend on one’s social background and may widen social inequalities in health.
4) Uncovering the role of national and sub-national context in social inequalities in miscarriage.
Unlike many previous studies based on small and outdated samples, I use longitudinal population registers and large representative surveys in Finland, France and the UK that are exceptionally rich in miscarriage, socioeconomic, other reproductive and health data, and can be triangulated to obtain more reliable results.
The project will lead to a significantly better understanding of a common reproductive experience affecting mental and physical wellbeing, and can help policy makers improve reproductive and population health.
Campo scientifico
- medical and health scienceshealth sciencespublic healthepidemiology
- social sciencessociologydemographyfertility
- social sciencessociologysocial issuessocial inequalities
- medical and health scienceshealth sciencessocial biomedical sciencessexual health
- medical and health sciencesclinical medicineobstetrics
Parole chiave
Programma(i)
- HORIZON.1.1 - European Research Council (ERC) Main Programme
Argomento(i)
Meccanismo di finanziamento
ERC - Support for frontier research (ERC)Istituzione ospitante
93322 Aubervilliers Cedex
Francia